The Details
of Appeal a workers' compensation first report violation notice

the Contents of the Appeal a workers' compensation first report violation notice page

What you need
for Appeal a workers' compensation first report violation notice

The DIA fines employers who don’t file a Form 101 - First Report of Injury/Fatality within the time frame specified by the workers’ compensation law. Please note, all First Reports of Injury to the DIA must be filed online. If you think the report violation is in error, you should gather all supporting documents, including:

Physical or electronic date stamps on documents

Witness statements

The date you were notified of the injury

How to appeal
Appeal a workers' compensation first report violation notice

You must either pay or appeal a first report violation notice within 30 calendar days.

All appeals must be made in writing with a copy of the violation notice